2017 Presentations & Handouts

To access handouts for the sessions, click on the title of the session. If there are multiple handouts, they
will be listed under the abstract. If there is not a handout available, it means the presenter has not provided
the handout to be posted online. "No Handout" has been indicated for presentations where the presenter has
notified us that there will not be a handout to post online.

8:30 – 11:30 AM

11:45 – 12:45 PM

12:45 – 1:45 PM

ABSTRACT: As working professionals, we could all use a little jolt from time to
time. This session may be the only time all year when you take a moment to reflect on things you need to do to
reignite the passion that brought you into the workforce in the first place. World-touring entertainer and actor
Mark J. Lindquist offers a keynote that is as entertaining as it is enlightening as he sends you out the door on
fire.

ABSTRACT: A partnership between the UND occupational therapy program and the
Grand Forks-based Global Friends Coalition is described. Pairs of students provided assistance to refugees to
enhance their participation within valued occupations in the community. A mixed-methods research design was used
to capture outcomes of student learning. Implications for program evaluation and planning are discussed.

ABSTRACT: A qualitative obesity study was conducted on the Turtle Mountain Band
of Chippewa Indian Reservation to determine opinions, beliefs, attitudes, and perceptions about obesity and its
effect on healthy lifestyles among the reservation. A disproportionate number of American Indians are
overweight, obese, and at a higher risk for other health concerns compared with the general population. Previous
research has shown that anthropometrically American Indians have higher body mass indices and worse health than
most of the general population. There is, however, a gap in the literature regarding American Indian’s
perceptions, beliefs, opinions, and attitudes of obesity and its effects on their health. The purpose of this
qualitative study is to determine whether American Indians view obesity as a major health concern. Focus groups
and key-informant interviews were the data collection instruments used to obtain this information.

ABSTRACT: The presentation will inform participants about the ND Medicare Rural
Hospital Flexibility (Flex) Program activity and the ND Critical Access Hospital (CAH) Quality Network. The
structure and development of the Network will be described. ND CAH quality improvement activity and efforts for
CAHs to sustain the quality of care provided by CAHs to ensure that rural citizens receive high quality care.

Session 4: Poster Presentations:Pharmacy Pathways to Public Health
Kaylee Davidson, PharmD Student, North Dakota State UniversityMark Strand, PPhD, Professor, North Dakota State University

ABSTRACT: This poster describes the critical steps in the pathway for
pharmacists to be in a position to more substantively contribute to the achievement of public health goals.

Hunger and Health: A Point of Convergence
Mary Larson, BA, MPH, PhD, Assistant Professor, North Dakota State
UniversityJaden Witt, BA, MPH, Graduate Research Student, North Dakota State University

ABSTRACT: The purpose of this study is to learn about the perspectives of
anti-hunger advocates and healthy food advocates on the problems of food insecurity, hunger, and health.
Polarity mapping will be used to find a convergence point between the positions of addressing hunger and
addressing health.

A Wholistic Model to
Characterize Well-being During Mid-LifeXiaozheng Yang, MPH Student, North Dakota State UniversityMark Strand, PhD, Professor, North Dakota State University

ABSTRACT: This poster describes a model for whole health for middle-aged
persons, with consideration of the role of socioeconomic status and health behaviors in good mental health.

ABSTRACT: The University of North Dakota and North Dakota State University have
implemented Interprofessional Health Care Course with several different health professional educational programs
participating in the course each year. Other interprofessional activities at the UND School of Medicine and
Health Sciences have included two interprofessional-based Health Resources Services and Administration (HRSA)
grant funded programs that introduced students to team-based care in rural and/or underserved communities. These
summer opportunities were dependent upon federal funding, only students in HRSA-recognized disciplines could
participate.

Research shows students gain a better understanding of problems resulting from a lack of coordinated care, such
as cost, duplication of services and short term hospital readmissions by participating in team-based activities.
The ISCLE program has been integrated into clinical rotations for pharmacy and medical students and has become
part of the normal workflow for students on their rotation. Other students at ISCLE communities are encouraged
and welcome to participate in this activity.

Session 6: New American Services and Refugee ExperienceReginald Tarr, BSW, Site Supervisor, Resettlement Services, Lutheran Social
Services New Americans

ABSTRACT: Under U.S. and international law, a refugee is someone outside his or
her own country with a well-founded fear of persecution in that country based on race, religion, nationality,
membership in a particular social group, or political opinion. Most refugees’ deepest desire is to be able to
return to their homeland in peace and safety. They are willing to wait long time in refugee camps and dangerous
settings for that possibility. Resettlement in a new country is available to less than 1% of the world’s
refugees as the last resort for those who cannot return to their homes and for whom it is not possible to
survive or rebuild their lives in a nearby country. Refugees are fleeing the same kind of terror which we have
seen unfolding around the world. We cannot forget that refugees are families, the children, and the most
vulnerable among us who have lost everything.

ABSTRACT: North Dakota (ND) is among the states with the lowest colorectal
cancer (CRC) screening rates and highest CRC incidence in the US. This presentation describes how stakeholders
are joining together through the North Dakota Colorectal Cancer Roundtable to develop local solutions and
utilize support and resources from the National Colorectal Cancer Roundtable’s 80% by 2018 Initiative.

Session 8: Poster Presentations:Perception of Tobacco Product Usage Among the
Refugee Populations of the Fargo-Moorhead AreaRaihan Khan, MBBS, Doctoral Student, North Dakota State UniversityAndrea Huseth-Zosel, PhD, Assistant Professor, North Dakota State University

ABSTRACT: Fargo-Moorhead twin cities are a major hub for the refugee population
settled in the Minnesota and North Dakota. Little was known about the perception of these diverse communities on
tobacco product usage. This study tried to understand those issues from the public health aspect.

Mobile Apps for Rural Providers and Patients
of Behavioral and Mental HealthDawn Hackman, M.S., AHIP, Northwest Clinical Campus Librarian, University of
North Dakota

ABSTRACT: Mobile apps and mobile-optimized websites have a variety of potential
uses in rural healthcare settings, especially in the areas of behavioral and mental health treatment. The
presenter will provide an overview of many high quality mobile apps and mobile-optimized websites that are
freely available, as well as provide suggestions for their effective use within the rural healthcare setting.

ABSTRACT: Geographic location plays a role in health status, access, and
outcomes. While GIS tools have been applied extensively in environmental health, infectious disease, and public
health emergencies, applications in chronic disease and cancer are relatively new. This project will illustrate
methods of enhancing chronic disease related data visualization and communication using mapping tools.

Wednesday, June 14, 2017

8:10 – 9:10 AM

Keynote 2: The Value of Traveling Upstream
Together: New Approaches, New PartnersTom Quade, MPH, MA, President, American Public Health Association; Health
Commissioner for Marion County, Ohio, American Public Health Association

ABSTRACT: The presentation will provide an orientation to Public Health 3.0 as
described by the Assistant Secretary of the U.S. Health and Human Services within the context of moving upstream
with novel community partners to address underlying social determinants of many of our public health problems.

9:15 – 10:15 AM

Buzz Session

You will select 3 topics tables to attend with 20 minutes per table (a horn will sound and you
will switch tables). Each hot topic table will have a facilitator. You must attend all three sessions to receive
continuing education credits.

ABSTRACT: Some North Dakotans have benefitted from Physician Orders for Life
Sustaining Treatment (POLST), which is designed to improve the quality of healthcare people receive by
translating their wishes for into medical orders. The form is used to assist healthcare professionals in
honoring treatment desires of their patients across various care settings beyond the use of current healthcare
directives.

ABSTRACT: The Wells County Mentoring Program was formed after concerned citizens
in our county met with our then Director of Nursing, Karen Volk, RN. They specifically asked for a program to be
started in the Harvey area. After months of planning, research, the now Policies and Procedures were accepted by
the SPF-SIG review panel for evidenced-based program.

ABSTRACT: This presentation will identify populations in need of oral health
services in North Dakota while focusing on how health providers in the State (other than dental professionals)
have been providing dental care. Learn about how long term care, primary care, and public health providers are,
or can be, addressing the oral health needs of North Dakota residents.

ABSTRACT: This presentation will review the empirical support for the critical
role of sleep in the family context, describe preliminary attempts to promote sleep health using family-centered
strategies, and provide directions for future research.

1:00 – 2:00 PM

Keynote 3: Reducing Your Stress While Getting Along with Difficult PeopleJoel Weintraub, M.Ed, BS, Humor for the Health of it

ABSTRACT: In order to get along with difficult people we must learn how to
center ourselves and stay in a positive emotional frame. Within one hour you will learn how your emotions
interfere with critical thinking and how to harness the power of the Pre-Frontal cortex for intelligent and
creative problem solving. You will also learn how to disarm confrontational behavior and how to turn potential
adversaries into respectful partners working toward a common goal. Topping off this seminar will be information
on the power of humor and its role in difficult situations and turning frustrating experiences into humorous
dramatizations.

ABSTRACT: A pilot study incorporating health systems changes for tobacco
dependency in the chiropractic setting is described. The session includes a review of literature; selected
portions the ND Healthcare Provider Survey; a discussion by chiropractors on the opportunities and challenges to
change their systems; the study’s methods, including educational content and strategies; and preliminary
results.

ABSTRACT: This presentation provides information to Public Health participants
on services provided by the U.S. Department of Homeland Security for overall security, protective measures and
resiliency for day-to-day operations, staff members, patrons, customers or clients. Services include free
security assessments, information sharing tools and training opportunities.

Intensive 2: Community Building SimulationMary Larson, BA, MPH, PhD, Assistant Professor, North Dakota State
UniversityAbby Gold, Vice Chair/Associate Professor Department of Public Health, North Dakota State
UniversityStefanie Meyer, Academic Coordinator, Department of Public Health, North Dakota State
UniversityAndrea Huseth-Zosel, PhD, Assistant Professor, North Dakota State UniversityMark Strand, PhD, Professor, North Dakota State UniversityJaden Witt, MPH, Graduate Research Student, North Dakota State University

ABSTRACT: Some prejudice is obvious, but other times it occurs more subtly.
This interactive workshop places participants in a community-building simulation. Participants will face a
variety of "real-life" situations and issues such as prejudice and an uncooperative system as they try to build
their community. Processing and discussion will follow the community-building simulation as well as ideas for
change.

ABSTRACT: In this session, you will learn about the Dissemination of Rural
Health Research toolkit and how important it is to share rural health success stories, lessons learned, and a
strong rural health message. This toolkit assists rural health providers and public health units in developing
useful resources for legislators, the public, other health professionals, and more. The presentation will cover
fact sheets, policy briefs, brochures, social media, infographics, and other methods of information
dissemination.

ABSTRACT: Health literacy is the ability of an individual to process health
information and use that information to inform their healthcare decisions. Rates are staggeringly low for a
large portion of the population. It is an issue that applies to every field of healthcare and to every
individual. Understanding how the body functions normally determines how it is treated. Understanding what
healthcare professionals are saying when the body functions abnormally determines the patient’s level of
compliance. Assessing consumers for health literacy is difficult – many do not ask for clarification and there
are few who will admit to not understanding. The people who need help are not always the obvious ones.
Addressing the issue takes a mixture of patients, thorough understanding, and compassion. In this presentation,
we will address what exactly health literacy is, who it affects, common misconceptions, how to assess consumers
at all levels, and the best method for education.

ABSTRACT: SAs a nonprofit insurer we are working with doctors and hospitals to
improve quality that could ultimately decrease the cost of care. As healthcare spending continues to increase,
the solution isn’t simply to cut costs. It requires a complete paradigm shift in how we think about and approach
health.

ABSTRACT: Rural providers cannot be left behind in the volume to value
transformations. Ms. Deitz will identify strategies to successfully participate in Medicare Access and CHIP
Reauthorization Act (MACRA) including Alternative Payment Models (APMs) and the Merit-Based Incentive Payment
System (MIPS). She will outline federal assistance that is available to assist providers in setting up billable
care coordination and quality reporting programs that can improve quality and financial performance in rural
settings.

9:10 – 10:10 AM

ABSTRACT: Behavioral and primary/public healthcare integration is being
utilized to enhance efficiencies and healthcare outcomes. There are various models currently in place. This
presentation will include an overview of models and expand on those which may be most helpful in our region.

10:15 – 11:00 AM

ABSTRACT: Opioid use is an enormously complex issue with the need for multiple
solutions. This presentation will review the current data and efforts at prevention and treatment of opioid use
disorders.

ABSTRACT: Understanding public health data to be able to use it appropriately in
practice is important. This session will focus on public health data, including evaluating public health data
sources, identifying the types of data that are available, interpreting the data, and explaining how to use data
to prioritize community health objectives.

ABSTRACT: The School of Medicine and Health Sciences Advisory Council is
required to provide a biennial report to the legislature every two years. The Center for Rural Health is
responsible for collecting the data used in the biennial report and for writing a majority of the document. This
presentation will discuss data collection, aggregation, and significant findings.

ABSTRACT: Insufficient physical activity, excessive sedentary behavior (screen
time) and insufficient fruit and vegetable consumption may contribute to childhood obesity. Children’s decisions
to be physically active or sedentary, and their eating behaviors are made in the context of the choices parents
and adults provide them. Additionally, young children (3-5 years) depend more on their parents and other adults
for guidance and building their skills for making healthy choices compared to older children. To make
sustainable health behavior changes in children, parents and adults should be targeted to provide healthful
options and build children’s skill to promote healthful behavior to prevent obesity. The Healthy Opportunities
for Physical Activity and Nutrition (HOP’N) Home project is a novel approach to reach parents through child care
centers to prevent obesity. This approach links child care settings to home environments by developing
children’s asking skills (pestering) for healthful home environmental change through child care activities.

ABSTRACT: ECQIP is a hybrid of the Collaborative and ECHO models and will mesh
QI training from the IHI with shared learning webinars, practice coaching, time for CHCs to test ideas, and
discussions on lessons learned. ECQIP enables a learning community for CHCs and partners to collaborate on
evidence-based QI projects. This presentation will discuss ECQIP and its application in cervical cancer
screening.